Appalachian Health explores major challenges and opportunities for promoting the health and well-being of the people of Appalachia, a historically underserved population. It considers health's intersection with social, political, and economic factors to shed light on the trends affecting mortality and morbidity among the region's residents. Editors F. Douglas Scutchfield and Randy Wykoff have assembled high-profile experts working in academia, public health, and government to offer perspectives on a wide range of topics including health behaviors, environmental justice, and pandemic preparedness. This volume also provides updated data on issues such as opioid abuse, "deaths of despair," and the social determinants of health. Together, the contributors illuminate the complex health status of the region and offer evidence-based programs for addressing the health problems that have been identified.
Appalachians have been characterized as a population with numerous disparities in health and limited access to medical services and infrastructures, leading to inaccurate generalizations that inhibit their healthcare progress. Appalachians face significant challenges in obtaining effective care, and the public lacks information about both their healthcare needs and about the resources communities have developed to meet those needs. In Appalachian Health and Well-Being, editors Robert L. Ludke and Phillip J. Obermiller bring together leading researchers and practitioners to provide a much-needed compilation of data- and research-driven perspectives, broadening our understanding of strategies to decrease the health inequalities affecting both rural and urban Appalachians. The contributors propose specific recommendations for necessary research, suggest practical solutions for health policy, and present best practices models for effective health intervention. This in-depth analysis offers new insights for students, health practitioners, and policy makers, promoting a greater understanding of the factors affecting Appalachian health and effective responses to those needs.
After rising from poverty to earn two Ivy League degrees, an Appalachian lawyer pays tribute to the strong “hill women” who raised and inspired her, and whose values have the potential to rejuvenate a struggling region. “Destined to be compared to Hillbilly Elegy and Educated.”—BookPage (starred review) “A gritty, warm love letter to Appalachian communities and the resourceful women who lead them.”—Slate Nestled in the Appalachian mountains, Owsley County, Kentucky, is one of the poorest places in the country. Buildings are crumbling as tobacco farming and coal mining decline. But strong women find creative ways to subsist in the hills. Through the women who raised her, Cassie Chambers traces her path out of and back into the Kentucky mountains. Chambers’s Granny was a child bride who rose before dawn every morning to raise seven children. Granny’s daughter, Ruth—the hardest-working tobacco farmer in the county—stayed on the family farm, while Wilma—the sixth child—became the first in the family to graduate from high school. Married at nineteen and pregnant with Cassie a few months later, Wilma beat the odds to finish college. She raised her daughter to think she could move mountains, like the ones that kept her safe but also isolated from the larger world. Cassie would spend much of her childhood with Granny and Ruth in the hills of Owsley County. With her “hill women” values guiding her, she went on to graduate from Harvard Law. But while the Ivy League gave her opportunities, its privileged world felt far from her reality, and she moved home to help rural Kentucky women by providing free legal services. Appalachian women face issues from domestic violence to the opioid crisis, but they are also keeping their towns together in the face of a system that continually fails them. With nuance and heart, Chambers breaks down the myth of the hillbilly and illuminates a region whose poor communities, especially women, can lead it into the future.
Motivated by a deeply rooted sense of place and community, Appalachian women have long fought against the damaging effects of industrialization. In this collection of interviews, sociologist Shannon Elizabeth Bell presents the voices of twelve Central Appalachian women, environmental justice activists fighting against mountaintop removal mining and its devastating effects on public health, regional ecology, and community well-being. Each woman narrates her own personal story of injustice and tells how that experience led her to activism. The interviews--many of them illustrated by the women's "photostories"--describe obstacles, losses, and tragedies. But they also tell of new communities and personal transformations catalyzed through activism. Bell supplements each narrative with careful notes that aid the reader while amplifying the power and flow of the activists' stories. Bell's analysis outlines the relationship between Appalachian women's activism and the gendered responsibilities they feel within their families and communities. Ultimately, Bell argues that these women draw upon a broader "protector identity" that both encompasses and extends the identity of motherhood that has often been associated with grassroots women's activism. As protectors, the women challenge dominant Appalachian gender expectations and guard not only their families but also their homeplaces, their communities, their heritage, and the endangered mountains that surround them. 30% of the proceeds from the sale of this book will be donated to organizations fighting for environmental justice in Central Appalachia.
In Hillbilly elegy, J.D. Vance described how his family moved from poverty to an upwardly mobile clan while navigating the collective demons of the past. The book has come to define Appalachia for much of the nation. This collection of essays is a retort, at turns rigorous, critical, angry, and hopeful, to the long shadow cast over the region and its imagining. But it also moves beyond Vance's book to allow Appalachians to tell their own diverse and complex stories of a place that is at once culturally rich and economically distressed, unique and typically American. -- adapted from back cover
Appalachians have been characterized as a population with numerous disparities in health and limited access to medical services and infrastructures, leading to inaccurate generalizations that inhibit their healthcare progress. Appalachians face significant challenges in obtaining effective care, and the public lacks information about both their healthcare needs and about the resources communities have developed to meet those needs. In Appalachian Health and Well-Being, editors Robert L. Ludke and Phillip J. Obermiller bring together leading researchers and practitioners to provide a much-needed compilation of data- and research-driven perspectives, broadening our understanding of strategies to decrease the health inequalities affecting both rural and urban Appalachians. The contributors propose specific recommendations for necessary research, suggest practical solutions for health policy, and present best practices models for effective health intervention. This in-depth analysis offers new insights for students, health practitioners, and policy makers, promoting a greater understanding of the factors affecting Appalachian health and effective responses to those needs.
A lyrical exploration of love and loss, this book centers on several generations of women in a bucolic southern Black township as they live with and sometimes surrender to madness. The Goode-Brown family, led by matriarch and pillar of the community Minnie Mae, is plagued by old secrets and embarrassment over mental illness and illegitimacy. Meanwhile, single mother Francine Clark is haunted by her dead, lightning-struck husband and forced to fight against both the moral judgment of the community and her own rebellious daughter, Mona. The residents of Opulence struggle with vexing relationships to the land, to one another, and to their own sexuality. As the members of the youngest generation watch their mothers and grandmothers pass away, they live with the fear of going mad themselves and must fight to survive. The author offers up Opulence and its people in lush, poetic detail. It is a world of magic, conjuring, signs, and spells, but also of harsh realities that only love - and love that's handed down - can conquer.
Appalachian Americans: Issues and Concerns for Counseling and Psychotherapy, an edited book, by Drs. Daya Singh Sandhu, Jeffrey Parsons, and Quentin Hunter, has recently made debut in the fields of multicultural and cross-cultural scholarship and practice as sui generis, a unique book of its kind in many ways. This is perhaps one of the few books that brings counseling needs and mental health problems of the Appalachian people at the forefront for the first time. Generally, Appalachian Americans have been neglected, overlooked, or just forgotten in the past.Since the Civil Rights Act of 1964, when culturally different, racially diverse, and people of color started getting attention as an integral part of the American society, multiculturalism became one of the major research interests of social scientists. As a result, most of the multicultural scholarship focused on the cultural identity, cultural worldviews, cultural values of five major racial groups which included, European Americans, African Americans, Latina/Latino Americans, Asian Americans, and Native Americans.Appalachian Americans: Issues and Concerns for Counseling and Psychotherapy is very different, unique, and distinct from most of the previous multicultural publications. This book is not based on the racial or cultural identity of the Appalachian people, it is distinctly based on the issues relating to social marginalization, economic and social injustices, and inequities. It focuses much of its attention on the impact of the oppression and social marginalization on Appalachian people's lives.In its very first and rare attempt, this powerful book explores and discusses the effects of geography on the personality and special rules for living on the Appalachian Americans. Appalachian trails, also called trails of tears, have been sadly neglected by the multicultural scholarship and institutions of higher learning. While people in the other parts of the country enjoy beautiful sceneries of mountains and their ranges, but people from Appalachia living on the same mountains call their challenges of life as mountains of problems.The contributors of this book are commended for opening new vistas and visions for the Appalachian people to tread proudly and fearlessly on many unbeaten paths of their lives without worrying about becoming prisoners of mountains.More than ethnic, cultural, and racial conflicts, Appalachian people face more economical and environmental racism and discriminations mostly caused by the big corporations who are hungry for coal from the Appalachia. Many authors have discussed issues relating to social, psychological, and environmental needs of the Appalachian people and offered strategies of social justice and advocacy to deal with poverty, injustices, and social marginalization that is so prevalent in the Appalachian Land.The aim of this textbook is to address the mental health problems and counseling needs of the Appalachian people and it is indispensable for mental health professionals, professional counselors, psychologists, social workers, psychiatrists, and all other people interested in the physical, emotional, and spiritual well-being of the Appalachian people. I hope it will adorn your home library soon.Daya Singh SandhuAugust 29, 2019
A celebratory collection of essays and photographs, originally published as part of an effort to preserve Red River Gorge from plans to build a dam and a man-made lake, shares the T. S. Eliot Award-winning writer's perspectives on the gorge's wild beauty and the nature of rivers. Reprint.
Public health refers to the management and prevention of disease within a population by promoting healthy behaviors and environments in an effort to create a higher standard of living. In this comprehensive volume, editor James W. Holsinger Jr. and an esteemed group of scholars and practitioners offer a concise overview of this burgeoning field, emphasizing that the need for effective services has never been greater. Designed as a supplemental text for introductory courses in public health practice at the undergraduate and graduate levels, Contemporary Public Health provides historical background that contextualizes the current state of the field and explores the major issues practitioners face today. It addresses essential topics such as the social and ecological determinants of health and their impact on practice, marginalized populations, the role of community-oriented primary care, the importance of services and systems research, accreditation, and the organizational landscape of the American public health system. Finally, it examines international public health and explores the potential of systems based on multilevel partnerships of government, academic, and nonprofit organizations. With fresh historical and methodological analyses conducted by an impressive group of distinguished authors, this text is an essential resource for practitioners, health advocates, and students.
